<div class="layuimini-container">
    <form id="app-form" class="layui-form layuimini-form">
        
        <div class="layui-form-item">
            <label class="layui-form-label">店铺名称</label>
            <div class="layui-input-block">
                <input type="text" name="title" class="layui-input" lay-verify="required" placeholder="请输入店铺名称" value="{$row.title|default=''}">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">联系电话</label>
            <div class="layui-input-block">
                <input type="text" name="mobile" class="layui-input" lay-verify="required" placeholder="请输入联系电话" value="{$row.mobile|default=''}">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label required">店铺logo</label>
            <div class="layui-input-block layuimini-upload">
                <input name="logo" class="layui-input layui-col-xs6" lay-verify="required"  placeholder="请上传店铺logo" value="{$row.logo|default=''}">
                <div class="layuimini-upload-btn">
                    <span><a class="layui-btn" data-upload="logo" data-upload-number="one" data-upload-exts="png|jpg|ico|jpeg" data-upload-icon="image"><i class="fa fa-upload"></i> 上传</a></span>
                    <span><a class="layui-btn layui-btn-normal" id="select_logo" data-upload-select="logo" data-upload-number="one" data-upload-mimetype="image/*"><i class="fa fa-list"></i> 选择</a></span>
                </div>
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label required">店铺地址</label>
            <div class="layui-input-inline">
                <div id="province"></div>
            </div>
            <div class="layui-input-inline">
                <div id="city"></div>
            </div>
            <div class="layui-input-inline">
                <div id="area"></div>
            </div>
        </div>
        <input type="hidden" name="old_address" value="{$row.address|default=''}">
        <div class="layui-form-item">
            <label class="layui-form-label">详情地址</label>
            <div class="layui-input-block">
                <div id="address"></div>
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">店铺纬度</label>
            <div class="layui-input-block">
                <input type="text" name="lat" class="layui-input" id="lat" disabled lay-verify="required" placeholder="请输入店铺纬度" value="{$row.lat|default=''}">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">店铺经度</label>
            <div class="layui-input-block">
                <input type="text" name="lng" class="layui-input" id="lng" disabled lay-verify="required" placeholder="请输入店铺经度" value="{$row.lng|default=''}">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">店铺排序</label>
            <div class="layui-input-block">
                <input type="text" name="sort" class="layui-input" lay-verify="required" placeholder="请输入店铺排序" value="{$row.sort|default=''}">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">状态</label>
            <div class="layui-input-block">
                {foreach $getStatusList as $k=>$v}
                <input type="radio" name="status" value="{$k}" title="{$v}" {in name="k" value="$row.status"}checked=""{/in}>
                {/foreach}
            </div>
        </div>

        <div class="hr-line"></div>
        <div class="layui-form-item text-center">
            <button type="submit" class="layui-btn layui-btn-normal layui-btn-sm" lay-submit>确认</button>
            <button type="reset" class="layui-btn layui-btn-primary layui-btn-sm">重置</button>
        </div>

    </form>
</div>